Assists the Commercial Products team with the maintenance and administration of the Denver Health Medical Plan, Inc. (DHMP) Exchange
Ensures compliance with all State and Federal-level regulatory requirements requiring strong attention to detail
Creates analyses and reports, assisting with project and implementation plans
Develops marketing materials and provides input on policies and procedures for departmental activities
Reviews all State and Federal regulations and policy changes
Supports member experience through attending events and partnering with the Marketing team
Works independently with the Commercial Products team and other Managed Care Departments
Researches and resolves member and provider escalations
Assists in setting strategic direction of projects, developing project plans, analytic support services and applicable technical/subject matter expertise to achieve organizational goals
Requirements
Bachelor's Degree required
1-3 years years of health care/plan experience with a preferred emphasis on Commercial health plan operations, regulatory issues, policy development or compliance required
Substantial knowledge of managed care/health care administration, policy and compliance, particularly regarding Commercial health plan operations
Ability to interpret and synthesize Federal and State regulatory requirements
Proficiency in Microsoft Excel, including pivot tables, VLOOKUP, and other functions to analyze, reconcile and validate datasets
Self-starter who works with limited supervision and guidance, demonstrating strong organizational skills and attention to detail
Ability to define problems, collect data, establish facts and draw valid conclusions to implement solutions and ability to develop data requirements and work with operations teams and groups to extract, organize and analyze data and trends
Critical thinking, strong written and verbal communication skills, and the ability to work collaboratively in groups
Ability to work on multifaceted projects in conjunction with day-to-day activities
Benefits
Outstanding benefits including up to 27 paid days off per year
Immediate retirement plan employer contribution up to 9.5%
Generous medical plans
Free RTD EcoPass (public transportation)
On-site employee fitness center and wellness classes
Childcare discount programs & exclusive perks on large brands, travel, and more
Tuition reimbursement & assistance
Education & development opportunities including career pathways and coaching
Professional clinical advancement program & shared governance
Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program
National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer